Atenção primária à saúde no sistema prisional: caracterização dos atendimentos aos homens privados de liberdade

Abstract

The prison system (SP) in Alagoas has a total population of 12,003 people in open, semi-open and closed regimes. Of this total, 4,287 are men in a closed regime in Prison Units in the municipality of Maceió. In the state, the Operative Plan for Comprehensive Health Care for Persons Deprived of Liberty is a guiding instrument for actions and procedures for the care of this group. The motivation of the study is characterized by the incipience of content found during the research that deals with the care provided in primary care in the prison context to the Man Deprived of Liberty (HPL) in Alagoas. The study has as its guiding object and main objective to characterize the assistance provided to HPL in Primary Health Care in the context of the Prison System. This is a cross-sectional descriptive study (GIL, 2010) with a quantitative approach carried out through the public reports of INFOPEN and SISAB, of the health production of the services provided in six basic units of male prison units in the year 2022. As a result, there was a predominance, in Alagoas, of young people over 25 years old (58%), brown (54.2%) and incomplete primary education (54.2%), in Maceió there were 2,718 men in closed regime and there was a predominance of diseases infectious diseases such as tuberculosis and HIV. The number of psychological consultations stood out (11,841) during the searches. The analyzes considered the physical structure of the prison unit and low education as determinants for the population's illness. Attention to mental health is an important point of reflection due to family distancing and harassment to which re-education is submitted, generating mood and sleep disorders. The computerized records also occupy an important place in the analyzes for the verification of possible failures that can hide the reality in the Maceio penitentiary system. Thus, it was concluded that primary care in the prison context is multifaceted. The vulnerabilities linked to men with a profile of social marginalization must be overcome through the adoption of measures that guarantee the strengthening of public policies for the protection and promotion of health.